Apparently more people have these than I thought. I've got one on the back of thelower joint of my thumb. It's not gotten any bigger or smaller in several months. It's mostly innocuous, but occasionally I'll hit it the wrong way and it'll be really painful. I've thought about getting it removed surgically, but I'm a little worried about damage to the tendon, as I've been told that it's a growth on the tendon.

Does anyone have any knowledge to share?

Yeah, give that mine is small and at the base of my thumb, I think the result of that therapy is more likely to be a thumb dislocation than a burst cyst.

It's looking like aspiration is a less invasive treatment option. At least one of the sites I saw referred to surgical removal involving removal of some of the tendon sheath, and I don't like the sound of that.

A slightly better UK page here.
What they don't say is why the Bible method fell from favor. Many of these rupture and/or dissolve on their own, so the Bible just triggers that, but it may be that there are concerns about collateral damage. My coworker's was on the back of her hand (i n the area of the common flexor tendon sheath from that diagram) and it stood out like the Devil's Tower, so it was pretty easy to deliver a sharp, targeted blow that didn't whale on the entirety of her hand.

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Does anyone have any knowledge to share?

Yes. I have one on the side of my wrist. I've had it for 3 years now, and it only bothered me once when I had tendonitis shortly after it first made it's appearance. The advice I got from 4 orthopedic surgeons since was "If it really doesn't bother you much, let sleeping dogs lie." None of them seemed to fond of surgery or aspiration for little ones like mine, so I've let it be. So far, no change in size or shape and no pain after that.

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There are those, though, who can't see to consider anything but cutting.

And they are plentiful. My sister dealt with many of them during her surgical residency.

I have had a couple of these, most recently at the base of my right ring finger, just at the point where if I picked something up the pressure was greatest and the pain worst. My GP advised that the best treatment, unless the thing was really causing problems, was to apply steady pressure for a few minutes a day. Just press reasonably hard on it for ten to fifteen minutes, not quite to the point of pain. After a week or so it would deflate, and eventually go and probably not come back.

He was completely correct. It took about ten days, and I've had no trouble since.

His opinion was that surgical intervention with these things was almost never warranted, and usually too dangerous. If it went wrong the cure caused a lot more problems than the disease.

pca

I'll give it a shot. Yours sounds quite like mine, even. Pressing on it for ten to fifteen minutes, though -- that's a lot of pressing. It's going to cut into my two-fisted activities. It may be time to invest in a C-clamp.

I had a ganglion cut out of my wrist several years back. It was affecting my training and surgery was the only option. I haven't had any problems since, not that i'm still training tho.
The steady pressure remedy sounds fine if it works for you

Those pictures... at that site... were awful. It's a good thing I'm not a medical doctor.